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Femoral osteochondroma presenting with rupture of vastus medialis muscle 股骨骨软骨瘤表现为股内侧肌破裂
Pub Date : 2021-12-22 DOI: 10.52312/jdrscr.2022.5
Elif Balevi Batur, Mustafa Alper Bozkurt, Z. Bekin Sarıkaya
Osteochondroma is one of the most common benign tumors of the skeletal system, which is usually seen in adolescence. It is responsible for about half of all healthy bone tumors and 15% of bone tumors. Osteochondral lesions are often seen in the metaphyseal region of the long bones and frequently occurred in the proximal humerus, distal femur, and tibia. Malignant transformation is the most serious complication in 1%, and about 5 to 25% of solitary and multiple form the cases, respectively.[1]
骨软骨瘤是骨骼系统最常见的良性肿瘤之一,常见于青春期。大约一半的健康骨肿瘤和15%的骨肿瘤都是由它引起的。骨软骨病变常见于长骨干骺端,常发生于肱骨近端、股骨远端和胫骨。恶性转化是最严重的并发症,占1%,单发和多发病例分别占5 - 25%
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引用次数: 0
Diagnosing snapping popliteus tendon is not a snap in lateral knee symptoms 诊断腘腘肌腱断并不是指膝外侧的断症状
Pub Date : 2021-12-22 DOI: 10.52312/jdrscr.2022.2
Özlem Orhan, Batuhan Bahadır, Erdem Aras Sezgin, U. Kanatlı
Although snapping sensation that causes pain in the lateral aspect of the knee is a common symptom, snapping of the popliteus tendon (PT) over the lateral femoral condyle rarely presents as the cause. Anatomy, function, and ruptures of the PT have been studied extensively and are well documented in the literature.[1-3] However, clinical and radiological diagnosis of snapping is still challenging, resulting in an increased risk of incorrect diagnosis and eventually inadequate treatment. It can be easily missed among other symptoms of the lateral knee, such as iliotibial band friction syndrome, lateral meniscus tear, discoid lateral meniscus, cartilage injury or loose bodies in the knee joint. Painful snapping located at lateral aspect of the knee is common; however, snapping popliteus tendon syndrome (SPTS) rarely presents as the cause and may be misdiagnosed even by the most experienced surgeons. A 36-year-old male patient was admitted with lateral knee pain and snapping sensation for two years. Snapping was palpated at the lateral knee when flexed at 30° and the patient described intense pain beyond 80°. Arthroscopy revealed thickening of intra-articular portion of the popliteus tendon (PT). Surrounding synovium had extensive inflammation. During flexion, PT snapped back and forth into the popliteal sulcus. The inflamed tissue was debrided with no additional intervention to the PT. Postoperative physical therapy was recommended. The patient was relieved of his symptoms by the end of the first year. In conclusion, surgeons should be aware of SPTS during evaluation of the lateral compartment for optimal management of patients presenting with lateral knee pain and snapping sensation.
虽然引起膝关节外侧疼痛的折断感是一种常见症状,但股骨外侧髁上腘肌肌腱(PT)的折断很少被认为是原因。解剖,功能和PT的破裂已被广泛研究,并在文献中有很好的记录。[1-3]然而,咬合的临床和影像学诊断仍然具有挑战性,导致诊断错误的风险增加,最终导致治疗不足。在髂胫束摩擦综合征、外侧半月板撕裂、盘状外侧半月板、膝关节软骨损伤或松体等膝外侧症状中,它很容易被忽视。疼痛的咔嚓位于膝关节外侧是常见的;然而,腘肌腱断裂综合征(SPTS)很少被认为是病因,即使是最有经验的外科医生也可能误诊。一名36岁男性患者因膝外侧疼痛和折断感住院两年。当屈曲至30°时,在膝关节外侧触诊到断裂,患者描述超过80°时剧烈疼痛。关节镜显示腘肌腱(PT)关节内部分增厚。滑膜周围有广泛的炎症。在屈曲时,PT前后弹回进入腘沟。在没有额外干预PT的情况下,对炎症组织进行清创。建议术后进行物理治疗。到第一年年底,病人的症状就减轻了。总之,外科医生在评估外侧腔室时应注意SPTS,以便对出现外侧膝关节疼痛和弹跳感的患者进行最佳治疗。
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引用次数: 0
How can the case report survive in a world of big data? 案例报告如何在大数据的世界中生存?
Pub Date : 2021-12-22 DOI: 10.52312/jdrscr.2022.67529
Erdem Aras Sezgin, Tacettin Ayanoğlu, D. Çankaya, Baran Sarıkaya
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引用次数: 0
A rare disease of the pediatric pelvis: Van Neck-Odelberg disease 一种罕见的小儿骨盆疾病:Van Neck-Odelberg病
Pub Date : 2021-12-22 DOI: 10.52312/jdrscr.2022.6
Selçuk Korkmazer, Ahmet Yiğit Kaptan, Toygun Kağan Eren, Ömercan Sepetçi, İbrahim Tekpınar, Hasan Mehmet Tıraş
Ischiopubic synchondrosis (IPS) is a hyaline cartilaginous joint between the ischial ramus and inferior pubic ramus. It is a temporary joint and is ossified before adolescence.[1] During the ossification period, enlargement of the ramal ends may cause a tumor-like appearance on radiographs.[2] Although this period is asymptomatic in many cases, tumor, osteomyelitis, stress fracture and osteochondrosis may be considered in the differential diagnosis of patients presenting with groin pain and limping.
坐骨耻骨软骨联合(IPS)是坐骨分支和耻骨下分支之间的透明软骨关节。这是一个暂时性的关节,在青春期之前就已经骨化了。[1]在骨化期,分支末端的扩大可能导致x线片上的肿瘤样外观。[2]虽然这一时期在许多情况下是无症状的,但肿瘤、骨髓炎、应力性骨折和骨软骨病可能被认为是腹股沟疼痛和跛行患者的鉴别诊断。
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引用次数: 0
Proximal partial fibular resection instead of total knee prosthesis in a patient with metal allergy 金属过敏患者近端部分腓骨切除代替全膝关节假体
Pub Date : 2021-12-22 DOI: 10.52312/jdrscr.2022.13
Emre Gültaç, Fatih İlker Can, Hıdır Tanyıldızı, Cem Yalın Kılınç, N. Aydogan
Knee osteoarthritis is a common joint disease affecting middle-aged and elderly individuals.[1] High tibial osteotomy (HTO), unicompartmental or total knee arthroplasty (TKA) can be preferred as surgical treatment modalities in patients with medial compartment arthrosis. These methods are usually determined according to the age of the patient, the degree of medial arthrosis, the presence of arthrosis in the lateral compartment, and the experience of the surgeon. All of these surgical treatment options require metallic biomaterials such as stainless steels, titanium alloys, and cobalt-chromium alloys. According to the patch test and blood analysis, the frequency of nickel, cobalt, chromium skin allergies in the general population is 13%, 2% and 1%, respectively. Although metal hypersensitivity is estimated between 10 to 15% in the general population, even higher incidences may be observed up to 25%.[2] A 66-year-old female patient with Grade III osteoarthritis was considered for primary total knee arthroplasty (TKA). Due to her metal allergy, TKA was abandoned and proximal partial fibular resection (PPFR) was planned. The patient was evaluated at regular follow-ups. Based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Visual Analog Scale (VAS) scores, a significant improvement, particularly in terms of pain and functional scores with limited radiological change, was observed. In conclusion, the PPFR is a viable surgical treatment option in patients with gonarthrosis who have metal hypersensitivity.
膝骨关节炎是中老年人常见的关节疾病。[1]高胫骨截骨术(HTO)、单腔或全膝关节置换术(TKA)是治疗内侧腔室关节病的首选手术方式。这些方法通常根据患者的年龄、内侧关节的程度、外侧关节室是否存在关节以及外科医生的经验来确定。所有这些手术治疗方案都需要金属生物材料,如不锈钢、钛合金和钴铬合金。根据斑贴试验和血液分析,一般人群中镍、钴、铬皮肤过敏的频率分别为13%、2%和1%。虽然一般人群中金属过敏的发生率估计在10%到15%之间,但甚至可能观察到更高的发生率高达25%。[2]一位66岁女性III级骨关节炎患者被考虑进行原发性全膝关节置换术(TKA)。由于她的金属过敏,TKA被放弃,并计划近端部分腓骨切除术(PPFR)。在定期随访中对患者进行评估。根据西安大略和麦克马斯特大学骨关节炎指数(WOMAC)和视觉模拟量表(VAS)评分,观察到明显的改善,特别是在疼痛和功能评分方面,放射学变化有限。总之,PPFR对于金属过敏的关节病患者是一种可行的手术治疗选择。
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引用次数: 0
Rarely seen radial nerve total injury with humerus supracondylar type IIIA open fracture in a child: Our five-year follow-up results 桡神经全损伤合并肱骨髁上IIIA型开放性骨折的罕见患儿:我们的5年随访结果
Pub Date : 2021-12-22 DOI: 10.52312/jdrscr.2022.17
Duran Topak, Ökkeş Bilal, F. Doğar, Mustafa Abdullah Özdemir
Some serious complications can accompany supracondylar humerus fractures. Early complications are neurological and vascular injuries, compartment syndrome, and muscle damage.[2,3] Incidences as high as 20%, and 2 to 3% have been reported for traumatic and iatrogenic nerve injuries, respectively, associated with supracondylar humerus fractures. About 4.1% of extension-type supracondylar humerus fractures have traumatic radial nerve lesions.[4]
一些严重的并发症可伴随肱骨髁上骨折。早期并发症为神经和血管损伤、筋膜室综合征和肌肉损伤。[2,3]据报道,与肱骨髁上骨折相关的外伤性和医源性神经损伤的发生率分别高达20%和2%至3%。约4.1%的伸展型肱骨髁上骨折伴外伤性桡神经损伤
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引用次数: 0
An unusual complication following a shoulder relocation attempt in a case of Larsen syndrome: Deep soft tissue laceration of the arm 一个不寻常的并发症后,肩部重新安置尝试在拉尔森综合征的情况下:深软组织撕裂的手臂
Pub Date : 2021-12-22 DOI: 10.52312/jdrscr.2022.3
Ahmet Burak Bilekli, H. Zeybek, Ali Aydilek, Y. Erdem
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引用次数: 0
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Joint Diseases and Related Surgery Case Reports
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